Patient's question:
The child is 18 years old and has been coughing for 4 months. They have already been tested positive for Mycoplasma pneumoniae 1:80 and Chlamydia. After taking Azithromycin for two weeks, it didn't improve. They went to the hospital again and were given erythromycin drips for another two weeks, but it still didn't get better. Later, it was said to be an allergy, so they took Singulair for a week, but it still didn't help. They then tested for allergens and found high sensitivity to egg whites and yolks, and mild sensitivity to milk. They retested for Mycoplasma pneumoniae and found it to be 1:160, which was even worse than before. Our whole family is so frustrated and worried. The coughing doesn't get better every morning—it's 5 to 6 coughs every morning. What should we do? It's just not getting better.Doctor's answer:
Mycoplasma pneumoniae pneumonia, formerly known as primary atypical pneumonia and cold agglutinin-positive pneumonia, is caused by Mycoplasma pneumoniae (MP). During the basic course, it leads to interstitial pneumonia and capillary bronchiolitis-like changes, clinically presenting as persistent and severe coughing due to pulmonary inflammation. MP is one of the important pathogens for pneumonia and other respiratory infections in children. The treatment of pediatric MP pneumonia is generally similar to that of other types of pneumonia, employing comprehensive evaluation and treatment measures. These include five aspects: general treatment, symptomatic treatment, the use of antibiotics, adrenal cortical hormones, and the treatment of extrapulmonary complications.